This is the fifth round of Integrated Biological and Behavioral Surveillance (IBBS) survey conducted among 400 clients of sex workers (truckers) who drive trucks in 22 districts of the East–West highway of Nepal. Fieldwork for the survey was carried out from 13 February 2016 to 9 March 2016. The survey was undertaken primarily to track the trend of HIV prevalence among the truckers and to understand their sexual behaviors, practice of use of condom and their exposures to different HIV and AIDS prevention to care programme. Information on the socio-demographic, mobility history, sexual behavior and condom use, knowledge on STI, HIV and AIDS, and exposure to STI, HIV and AIDS awareness programs, and stigma against HIV infected person was collected using a structured questionnaire.

The year 2012-13 marks the transition of the National AIDS Control Programme (NACP) from Phase III to Phase IV. At this important juncture, the 13th round of HIV Sentinel Surveillance (HSS) was implemented in 556 districts in 34 States and Union Territories (UTs) of India during January-April 2013. This report presents the findings of the 13th round of National HSS and shows prevalence levels and trends of the HIV epidemic from 2003 to 2012-13. Though the 13th round of HSS was carried out at ANC and STD sites only, this report also includes data on HIV prevalence among High Risk Groups (HRGs) and Bridge Populations from earlier rounds of HSS.

As a part of NACO’s endeavour to disseminate programme information and promote data use by different stakeholders, this document titled 'State Fact Sheets March 2014’ has been developed. It consolidates the information on epidemic scenario and programme response at state level into a one page factsheet on each state, for easy and quick reference. The HIV estimates mentioned in the document are the latest available estimates on HIV epidemic, with reference year 2011. Programme statistics refer to the status as on 31st March 2014 and summarise achievements during 2013-14. A note and glossary is added at the end that gives brief description of different services provided under NACP-IV and mentioned in the Fact Sheets.

HIV Sentinel Surveillance (HSS) and HIV estimations are the two most important strategic information activities that generate evidence on the epidemic’s patterns. By measuring and analysing the state of HIV epidemic in the country, HIV Sentinel Surveillance data and HIV estimates provide policy makers and programme managers key markers on the epidemic for use in planning, programming, resource allocation and advocacy efforts at national and decentralised levels. They, thus, have remained a core function of the Department of AIDS Control and continue to play a central role in guiding India’s AIDS response.

The BSS is usually conducted in the capital city Phnom Penh and in the provincial capitals of Cambodia’s four most populated provinces (Battambang, Sihanouk ville, Siem Reap, and Kampong Cham), resulting in a survey of urban groups. However, in this last BSS PLHIV were recruited not only from ART sites in these urban areas, but also from ART sites in other districts.

‪India has the third largest number of people living with HIV/AIDS. As per the 2008-09 HIV estimates, there are an estimated 23.9 lakh people currently living with HIV/AIDS in India with an adult prevalence of 0.31 percent in 2009.

HIV Sentinel Surveillance is one of the key components of second generation surveillance system in India to track the HIV epidemic in the country with the objective of understanding the level and trends of HIV epidemic among different population groups as well as to identify the spread of the epidemic to new pockets.

The national response to the HIV epidemic is guided by data obtained through HIV sentinel surveillance. The HIV Sentinel Surveillance, conducted annually since 1998, generates data to improve tracking of HIV trends, as well as improves the understanding of the epidemic’s characteristics and its level of proliferation across geographical areas.

‪India has the third largest number of people living with HIV/AIDS. As per the 2008-09 HIV estimates, there are an estimated 23.9 lakh people currently living with HIV/AIDS in India with an adult prevalence of 0.31 percent in 2009.

HIV Sentinel Surveillance is one of the key components of second generation surveillance system in India to track the HIV epidemic in the country with the objective of understanding the level and trends of HIV epidemic among different population groups as well as to identify the spread of the epidemic to new pockets.